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Consent of Provision

This document is a consent form for the provision of Day Care services for a minor in the Municipality of President Carlos P. Garcia, Bohol. The parents or guardians acknowledge their child's eligibility for the service and agree to support the child's activities at home. They also commit to cooperating with social workers and understanding the implications of the consent provided.

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ANDY MARK LINGO
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16 views1 page

Consent of Provision

This document is a consent form for the provision of Day Care services for a minor in the Municipality of President Carlos P. Garcia, Bohol. The parents or guardians acknowledge their child's eligibility for the service and agree to support the child's activities at home. They also commit to cooperating with social workers and understanding the implications of the consent provided.

Uploaded by

ANDY MARK LINGO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

PROVINCE OF BOHOL
Municipality of President Carlos P. Garcia
Department of Social Welfare and Development Office
REGION VII

CONSENT FOR PROVISION OF THE DAY CARE SERVICE

We/ I, ______________________________and _____________________________ of legal age,


resident of _______________________________________________ are/ is the parent of/s/ guardian of
the minor ___________________________________________.
That said minor ___________________________________was born _____________________
at ___________________________________________________.
That said minor is found to be eligible for the Day Care service referred to _________________
___________________________________By _________________________________for the period
(NAME OF CDC) (NAME OF CDW)
of______________________.
That we consent to the provision of said service to our child for the stated period herein;that we
provide support in the different activities at home in order to attain the objectives of the Day Care
Services for the welfare of our child.
That we will report any difficulties/problem of Social Worker/ Day Care Worker and cooperate
with them to solve the problem;
That this consent will explain to us and we fully understand each implication.
Issued this on _____day of___________________ at __________________, President carlos P.
Garcia, Bohol.

_____________________________ _______________________________
(signature of father) (signature of mother)

Witness:

___________________________ NORJANA B. SAUMAY, RSW


CDW MSWDO

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